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REBEKAH ANN CLARK LPHA,LCSW
NPI 1093953325
Social Worker - Clinical in Moline, IL

Active since January 23, 2009Opted out of Medicare · through Jan 1, 2027
4600 3RD ST, MOLINE, IL 61265(309) 779-2031(309) 779-2027 Get Directions Write a Review

NPPES record last updated: January 20, 2011. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Rebekah Ann Clark Lpha,lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REBEKAH ANN CLARK LPHA,LCSW (NPI 1093953325) is an individual clinical provider in Moline, Illinois, licensed in Illinois (149013349) and active in the NPI registry since January 2009. She has opted out of Medicare through January 1, 2027.

NPPES Registry Identity

NPI1093953325
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameREBEKAH ANN CLARKCredential: LPHA,LCSW
Location Address4600 3RD STMoline, IL 61265-6106
Mailing Address4600 3rd StMoline, IL 61265-6106 · (309) 779-2031 · Fax (309) 779-2027
Phone(309) 779-2031
Fax(309) 779-2027
Sole ProprietorNo
Enumeration DateJanuary 23, 2009
Last NPPES UpdateJanuary 20, 2011
✔ NPI 1093953325 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in IL · 149013349
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
4600 3RD ST, Moline, IL 61265
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Other Identifiers 1

Medicare PIN208833004IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Rebekah Ann Clark Lpha,lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2025 through January 1, 2027.

Opt-Out Effective DateJanuary 1, 2025
Opt-Out In Effect ThroughJanuary 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. JOAN TIMMERMANN LCSW
Social Worker (Clinical)
4600 3RD ST
MOLINE, IL 61265
Rock Island County (309) 779-2031
LASHONA MICHELLE DAVIS CMA
Nurse's Aide
4600 3RD ST
MOLINE, IL 61265
Rock Island County (309) 779-2031
CLINTON TROY MERRITT
Counselor (Mental Health)
4600 3RD ST
MOLINE, IL 61265
Rock Island County (708) 305-4041
ANNULKA LYNN KAGEE-WILLARD
Counselor (Mental Health)
4600 3RD ST
MOLINE, IL 61265
Rock Island County (309) 779-3000
TREENA ADAMS APN
Nurse Practitioner (Family)
4600 3RD ST
MOLINE, IL 61265
Rock Island County (309) 779-3000
SALENA HUTCHINS
Nurse's Aide
4600 3RD ST
MOLINE, IL 61265
Rock Island County (309) 779-3924
MICHELLE R. SHEPHERD PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
4600 3RD ST
MOLINE, IL 61265
Rock Island County (309) 779-2031
STEPHEN MARK DRAMINSKI L.C.P.C.
Counselor (Professional)
4600 3RD ST
MOLINE, IL 61265
Rock Island County (309) 854-2090

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rebekah Clark's NPI number?

The NPI number for Rebekah Clark is 1093953325. It was assigned to this individual provider in the NPPES registry on January 23, 2009.

Where is Rebekah Clark located?

Rebekah Clark practices at 4600 3rd St, Moline, IL 61265. The listed phone number is (309) 779-2031.

What is Rebekah Clark's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Rebekah Clark enrolled in Medicare?

No. Rebekah Clark has opted out of Medicare through January 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Rebekah Clark accept?

Health plans from Providence Health Plan list Rebekah Clark as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Rebekah Clark was last updated on January 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.